| NPI | 1861661720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 1211) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 12095736) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |