| NPI | 1912130295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: ND 1260) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MN 7602) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2014-10-22 |