| NPI | 1336505767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2019002755) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 4417) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SZ7452) | |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2020-03-26 |