| NPI | 1972707420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 4587) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 4810) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2018-09-21 |