| NPI | 1417094558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4302) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242-000180) |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 7660) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-11-10 |