| NPI | 1568580090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NH 0939) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 6600) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2012-01-13 |