| NPI | 1467794099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 10359) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12119) |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2023-06-08 |