| NPI | 1932395993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4215) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 5985) |
| Enumeration Date | 2007-09-23 |
| Last Update Date | 2007-11-09 |