| NPI | 1437555356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 8880139-4102) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-2428) |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2014-11-05 |