| NPI | 1659102846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 17939) |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech (Licence: OR 17939) |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2024-08-09 |