| NPI | 1245719392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 09034) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2018027215) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2020-08-28 |