| NPI | 1407440589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 18710) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 23377) |
| 235Z00000X Speech-Language Pathologist, (Licence: SC 4819) | |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2021-03-01 |