| NPI | 1760148019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 231H00000X Audiologist | |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2021-11-11 |