| NPI | 1588806533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 20080235336) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AK 168829) |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009887) | |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2022-01-31 |