| NPI | 1194305920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP13339) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 77992) |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2025-04-18 |