| NPI | 1730847674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 2570) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 105208) |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2021-12-07 |