| NPI | 1003288523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 1649333709) |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2023-11-28 |