| NPI | 1871608083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AL 2671) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: SC 2001) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2008-04-09 |