| NPI | 1235406307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 6778) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 9442) |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2023-12-03 |