| NPI | 1780882050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI4360) |
| Additional Taxonomies | 251E00000X Home Health (Licence: FL PTA18652) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL 10595) | |
| 251F00000X Home Infusion (Licence: FL PTA18652) | |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2022-06-16 |