| NPI | 1720205776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 2982) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA 007232) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2014-06-19 |