| NPI | 1659805489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 16695) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 1707102) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2019-07-09 |