| NPI | 1669537643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA 6225) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009271) |
| 235Z00000X Speech-Language Pathologist, (Licence: IL 146.011397) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2021-06-10 |