| NPI | 1386787075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 2630) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ4026) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |