| NPI | 1598199465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: SC 5402SPIN) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MS S3792) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-11-14 |