| NPI | 1619329208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-2971) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MT 6591) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2018-08-31 |