| NPI | 1922372432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 5021) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 9560) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |