| NPI | 1457785446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2005040724) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2271) |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2013-08-26 |