| NPI | 1558679076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-SLP-LIC-7314) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 9061) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2021-08-12 |