| NPI | 1003433319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2018024527) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 4713) |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-07-02 |