| NPI | 1295348902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP7097) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17298) |
| 235Z00000X Speech-Language Pathologist, (Licence: PA SL015076) | |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2022-01-10 |