| NPI | 1386321289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 2019044368) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2019044368) |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2023-07-03 |