| NPI | 1588153878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 13413) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 1903043) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2019-05-08 |