| NPI | 1336713379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 14279317) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 10015) |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2022-03-11 |