| NPI | 1336570332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 13767) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 3923) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2022-07-11 |