| NPI | 1417294794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AK 151072) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: OH SP.10487) |
| 235Z00000X Speech-Language Pathologist (Licence: TX 108097) | |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2023-01-17 |