| NPI | 1306148846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM C-4803) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NE 2438) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2021-02-01 |