| NPI | 1528776325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CT 005157) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: PA SL006214L) |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2022-11-10 |