| NPI | 1669449906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 10377) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 012189) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 106348) | |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2013-10-09 |