| NPI | 1730413733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: LA 5975) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MS S3394) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2020-06-25 |