| NPI | 1790017853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 8713) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL009580) |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2024-12-17 |