| NPI | 1609160753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 6402) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2009038484) |
| 235Z00000X Speech-Language Pathologist, (Licence: KS 3083) | |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2020-12-01 |