| NPI | 1194287946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 7357) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 6356) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2023-01-24 |