| NPI | 1700206091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0002539) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 002262) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2024-01-08 |