| NPI | 1538410089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM C-6221) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2017-11-21 |