| NPI | 1366564627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP7719) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22004114A) |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2022-07-20 |