| NPI | 1225557325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: CA 4269) |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2020-10-20 |