| NPI | 1790142453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: CA 3308) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2021-09-24 |