| NPI | 1598046385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 429) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 6634) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2011-09-07 |