| NPI | 1356533368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 12065) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM 3756) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2022-11-17 |