| NPI | 1487766119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS s-3407) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 2114) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-10-03 |