| NPI | 1689833311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 6085-154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-1087) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2023-04-07 |