| NPI | 1477755189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 3686) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 6556) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2022-01-11 |