| NPI | 1518444835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK 164574) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0003664) |
| 235Z00000X Speech-Language Pathologist, (Licence: MN 9704) | |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2022-09-12 |