| NPI | 1396073235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11901) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 019654) |
| 235Z00000X Speech-Language Pathologist, (Licence: LA 7574) | |
| 235Z00000X Speech-Language Pathologist, (Licence: ME SP2780) | |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2023-12-12 |