| NPI | 1972802163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 3371) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 2846) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2011-03-28 |