| NPI | 1639605868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 2750) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 6175) |
| Enumeration Date | 2017-05-09 |
| Last Update Date | 2023-08-10 |