| NPI | 1326471962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 3771-154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM 392) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2020-07-15 |