| NPI | 1568607810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP5860) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 17544) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2023-10-02 |