| NPI | 1265885800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: ME SP2471) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MI 7101003954) |
| 235Z00000X Speech-Language Pathologist (Licence: GA SLP008686) | |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2022-10-14 |