| NPI | 1154906501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 31422) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI SP-1852) |
| 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00931900) | |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2023-01-18 |