| NPI | 1992179790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 2273) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 22280) |
| 235Z00000X Speech-Language Pathologist, (Licence: NV 1788) | |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2015-11-17 |