| NPI | 1720632995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30002378) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 14007) |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2023-10-23 |