| NPI | 1558805507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 14757) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 01548) |
| Enumeration Date | 2016-12-10 |
| Last Update Date | 2016-12-10 |