| NPI | 1982034344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 05357) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 10658) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2015-09-30 |