| NPI | 1558516658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#1589) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 09135167) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2008-11-18 |