| NPI | 1538786264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0004826) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ tslp12470) |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2023-08-28 |