| NPI | 1649710757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: MD 02446L) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PR 4376) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2024-07-28 |