| NPI | 1467851485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IA 002359) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SD 275-SLP) |
| 235Z00000X Speech-Language Pathologist, (Licence: MN 7415) | |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |