| NPI | 1710114392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 10233) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 05866) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2013-02-14 |