| NPI | 1538607007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-3158) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: UT 9481211-4102) |
| Enumeration Date | 2017-02-05 |
| Last Update Date | 2020-08-26 |