| NPI | 1750889721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK 128625) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AK 113025) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |