| NPI | 1518273101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NC 9495) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: SC 4897) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2017-05-05 |