| NPI | 1407372345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2017030395) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 034352) |
| 235Z00000X Speech-Language Pathologist, (Licence: KS 4376) | |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2024-10-09 |