| NPI | 1932403128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2008019451) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2966) |
| Enumeration Date | 2011-01-01 |
| Last Update Date | 2012-06-18 |