| NPI | 1518541994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 5333-154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 14304038) |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2021-08-12 |