| NPI | 1205248010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 8084) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS S3821) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2024-05-01 |