| NPI | 1518104033 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: KS 1939)  | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist,   (Licence: NC 30003057)  | 
| 235Z00000X Speech-Language Pathologist,   (Licence: VA 2202011548)  | |
| 235Z00000X Speech-Language Pathologist,   (Licence: OK 6152)  | |
| Enumeration Date | 2009-01-21 | 
| Last Update Date | 2024-08-23 |