| NPI | 1497255392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 09952) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 7855) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2022-01-14 |