| NPI | 1285773085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WY SP-851) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP-30127) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2021-08-10 |