| NPI | 1235693912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 16435) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL013408) |
| Enumeration Date | 2019-01-26 |
| Last Update Date | 2019-01-26 |