| NPI | 1013499920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AR 180180) | |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2022-12-28 |