| NPI | 1679707509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 2867 (ABESPA)) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 12144657 (ASHA)) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2011-12-12 |