| NPI | 1528245206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 18159) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 5278) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2020-09-23 |