| NPI | 1639945306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 20921) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 10747) |
| 235Z00000X Speech-Language Pathologist, (Licence: WI 6251154) | |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-04 |