| NPI | 1013949262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 15173) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-2826) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2024-07-19 |