| NPI | 1487093035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S3718) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2013002841) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2013-06-17 |