| NPI | 1659042349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2020035039) |
| 235Z00000X Speech-Language Pathologist, (Licence: MO 14230232) | |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2021-11-28 |