| NPI | 1407495658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 09129) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: MD U01247) |
| Enumeration Date | 2020-01-04 |
| Last Update Date | 2020-01-04 |