| NPI | 1598140089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#3986) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2014011093) |
| Enumeration Date | 2015-07-25 |
| Last Update Date | 2015-11-30 |