| NPI | 1033355763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP0002764) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 2873) |
| 235Z00000X Speech-Language Pathologist, (Licence: TN 3932) | |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2020-06-10 |