| NPI | 1639346281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA SP10088) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: OH SP.14232) |
| 235Z00000X Speech-Language Pathologist (Licence: FL SA18396) | |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2023-01-25 |