| NPI | 1073959441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-2131) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA sp20747) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2022-05-17 |