| NPI | 1942590088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 5677) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP - 2084) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2015-06-04 |