| NPI | 1598086936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 9296) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 4931) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2012-07-16 |