| NPI | 1487086146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK SLPS526) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AK 67) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2019-02-09 |