| NPI | 1942436381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 003339) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 58 018880) |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007342) | |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2010-07-18 |