| NPI | 1639727464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PR 4076) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP6938) |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2024-09-13 |