| NPI | 1285157339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 9353) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2022-05-03 |