| NPI | 1255054722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 20944) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 9338) |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2022-11-30 |