| NPI | 1619306008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 14169) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22001045A) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |