| NPI | 1891053443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4060) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA 006777) |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |