| NPI | 1790070050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2012015970) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2011016141) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2022-07-21 |