| NPI | 1770177826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI5506) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 7523) |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2022-06-08 |