| NPI | 1043556152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 10614) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI 1232) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2023-07-17 |