| NPI | 1467643841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC 01004458/ASHA #) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 2972) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2007-08-09 |