| NPI | 1679120026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2019027196) |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2024-12-11 |