| NPI | 1770035735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WY SP-834) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WY SP/CFY-834) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2019-09-12 |