| NPI | 1538604483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VT 8006844) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: UT 687622) |
| Enumeration Date | 2017-01-02 |
| Last Update Date | 2017-01-02 |