| NPI | 1427377803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 12093) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 10293) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2018-10-04 |