| NPI | 1730582727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 1688) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 074794) |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2014-10-03 |