| NPI | 1649684416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA 008655) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 10673) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2023-02-21 |