| NPI | 1619729761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2022037486) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 5345) |
| Enumeration Date | 2024-04-02 |
| Last Update Date | 2024-04-02 |