| NPI | 1881882017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#2556) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR sp#p8042) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2009-05-04 |