| NPI | 1346499274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP4619) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM C-4423) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2022-03-21 |