| NPI | 1225628365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0005547) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 13493) |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2023-12-13 |