| NPI | 1215185525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS S-3536) |
| Enumeration Date | 2008-08-29 |
| Last Update Date | 2022-01-31 |