| NPI | 1528293669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 5216) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM 4055) |
| 235Z00000X Speech-Language Pathologist, (Licence: NM C-4824) | |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2017-08-15 |