| NPI | 1952652950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: PR 630) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PR 619) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |