| NPI | 1417306457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009297) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 8240) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |