| NPI | 1588335582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-3100) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.12332) |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2021-09-21 |