| NPI | 1740731900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2016037325) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 7338) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |