| NPI | 1710381538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S3893) |
| Additional Taxonomies | 231H00000X Audiologist |
| 103K00000X Behavior Analyst (Licence: MS 180059) | |
| 231H00000X Audiologist (Licence: MS A2851) | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2019-06-25 |