| NPI | 1376911438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 015737) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP9436) |
| Enumeration Date | 2015-09-07 |
| Last Update Date | 2021-09-23 |