| NPI | 1740524289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID 2858) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI 1165) |
| 235Z00000X Speech-Language Pathologist, (Licence: WA 61096683) | |
| Enumeration Date | 2012-11-22 |
| Last Update Date | 2020-12-23 |