| NPI | 1457967028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: ME SP3683) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: TX 117440) |
| Enumeration Date | 2020-09-19 |
| Last Update Date | 2024-01-02 |