| NPI | 1881825925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 8791) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI SP 1066) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2010-05-17 |