| NPI | 1174951164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2019031366) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 0001571) |
| 235Z00000X Speech-Language Pathologist, (Licence: MA 8963) | |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2020-02-19 |