| NPI | 1174281745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP22016) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 14395) |
| 235Z00000X Speech-Language Pathologist, (Licence: CT 7108) | |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2023-01-23 |