| NPI | 1003398363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 14201516) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 015969) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2023-03-31 |