| NPI | 1972759769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 7971) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004420) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA SP 16149) | |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |