| NPI | 1972847341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 000417663) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ND 1198) |
| Enumeration Date | 2012-11-25 |
| Last Update Date | 2012-11-25 |