| NPI | 1750406864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 9640) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL008469) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2013-04-15 |