| NPI | 1215221700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 235Z00000X Speech-Language Pathologist, | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2020-07-31 |