| NPI | 1740413673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 6610) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 2641) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2012-10-05 |