| NPI | 1497258198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2021030568) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 6488) |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2024-10-04 |