| NPI | 1164879813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 17043) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 32490) |
| 235Z00000X Speech-Language Pathologist, (Licence: IL 242003771) | |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2024-08-31 |