| NPI | 1598913162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 2648) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 1891) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2023-06-05 |