| NPI | 1588356448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-05-29 |