| NPI | 1154468387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 20329) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 116550) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2023-05-23 |