| NPI | 1326472853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 3862-154) |
| 235Z00000X Speech-Language Pathologist, (Licence: RI SP01773) | |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2023-03-16 |