| NPI | 1659752350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 6229) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 004979) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2017-08-02 |