| NPI | 1558819722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP6288) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM C-6088) |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2022-04-01 |