| NPI | 1356756449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 2014285-SP) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2022-12-12 |