| NPI | 1245777226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 13771) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA15169) |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2022-10-19 |