| NPI | 1629501846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 3918) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS S4201) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |