| NPI | 1588975882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 5060) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM C 4677) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2023-12-06 |