| NPI | 1558743963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11413) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 5781) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2020-03-06 |