| NPI | 1083125678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: 36714) |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 36714) | |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2017-10-23 |