| NPI | 1508375205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 12008415) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2023-11-30 |