| NPI | 1093119166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 1672) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 3642) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2022-10-18 |