| NPI | 1174276893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IA 01709) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-1990) |
| 235Z00000X Speech-Language Pathologist, (Licence: OR 016551) | |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 30000187) | |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2022-02-02 |