| NPI | 1609250448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 1827) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NE 480) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2016-07-11 |