| NPI | 1104087519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 13295) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 26409) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA15130) | |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009061) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0002712) | |
| 235Z00000X Speech-Language Pathologist, (Licence: SC 6766) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2022-10-23 |