| NPI | 1205317203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 2238) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 5151) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |