| NPI | 1487804381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 14003933) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2812) |
| 235Z00000X Speech-Language Pathologist, (Licence: MO 2007018013) | |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2008-09-26 |