| NPI | 1699960799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SD 470-SLP) |
| 235Z00000X Speech-Language Pathologist, (Licence: ND 2380) | |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2023-07-10 |