| NPI | 1609180793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2017016066) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 11240) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2022-07-21 |