| NPI | 1346503018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 30002250) |
| 235Z00000X Speech-Language Pathologist, (Licence: SC 8931) | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2024-10-02 |