| NPI | 1457751943 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist,   (Licence: 14068188)  | 
| 235Z00000X Speech-Language Pathologist,   (Licence: FL SA14198)  | |
| Enumeration Date | 2014-09-03 | 
| Last Update Date | 2023-03-03 |