| NPI | 1700191616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#3526) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 07037) |
| 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0001226) | |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2020-08-09 |