| NPI | 1316568272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ 13103) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 30762) |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011047) | |
| 235Z00000X Speech-Language Pathologist, (Licence: PR 4214) | |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2021-10-26 |