| NPI | 1558541219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 2723) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 30869) |
| 235Z00000X Speech-Language Pathologist, (Licence: SC 3011) | |
| Enumeration Date | 2007-11-10 |
| Last Update Date | 2024-12-13 |