| NPI | 1558536342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 05663) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 5657) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |