| NPI | 1528207701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CO 298) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: UT 1064434102) |
| 235Z00000X Speech-Language Pathologist (Licence: WY SP 377) | |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2017-01-27 |