| NPI | 1669652749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AK 399) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: AZ SLP2148) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2016-06-14 |