| NPI | 1114406675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 2110) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ND 1520) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-10 |