| NPI | 1609021716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#939) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 01111505) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2008-11-18 |