| 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 |