| NPI | 1710329602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 1022) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 6926) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |