| NPI | 1881734663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP0300) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 01035633) |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-07-26 |