| NPI | 1649307158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP1860) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM 1860) |
| 235Z00000X Speech-Language Pathologist, (Licence: NM 255728) | |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2024-10-09 |