| NPI | 1639481211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 6299) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 3856484) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2023-10-20 |