| NPI | 1548527831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3606) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 6547) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |