| NPI | 1780097303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 112153) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 1642) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |