| NPI | 1154796621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-SP-LIC-2323) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: UT 7370563-4102) |
| 235Z00000X Speech-Language Pathologist, (Licence: AK 149) | |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2018-05-25 |