| NPI | 1205247939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 6083) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 2761) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2022-04-25 |