| NPI | 1821331737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: PR 792) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: PR 836) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2013-03-28 |