| NPI | 1255715652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 6800) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 5272) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2022-08-08 |