| NPI | 1043541840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S3318) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 3117) |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2023-12-11 |