| NPI | 1588820831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MO 2000159282) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: AR 200986) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2021-07-14 |