| NPI | 1689060279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP5922) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM C-5721) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2023-07-13 |