| NPI | 1578693271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 6839) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 4176) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2012-08-31 |