| NPI | 1669172649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 15262) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WY SP993) |
| 235Z00000X Speech-Language Pathologist, (Licence: NM SLP6147) | |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA13780) | |
| 235Z00000X Speech-Language Pathologist, (Licence: NV SP-2451) | |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202010525) | |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2023-03-07 |