| NPI | 1639914930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-6418) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61558792) |
| 235Z00000X Speech-Language Pathologist, (Licence: MI 0653496) | |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2024-06-27 |