| NPI | 1265779979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: 21834) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 21834) |
| 174400000X Specialist | |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2023-10-19 |