| NPI | 1295725091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 6756) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 5502) |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 006300-1) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CT 002501) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 22383) | |
| 235Z00000X Speech-Language Pathologist, (Licence: WV SLP-2029) | |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2023-05-01 |