| NPI | 1073011508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 14181495) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI SP1706) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2022-07-21 |