| NPI | 1568827723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11605) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 3615) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 23594) | |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008998) | |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2018-10-17 |