| NPI | 1609636125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30002475) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 21903) |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2024-03-21 |