| NPI | 1902039316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 10117) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.005645) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2012-12-21 |