| NPI | 1154440980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 9194) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS S3111) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2024-04-30 |