| NPI | 1437716677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK 125684) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NH 1407) |
| 235Z00000X Speech-Language Pathologist, (Licence: MA 8646) | |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |