| NPI | 1790176154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2015044730) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6695) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2018-09-21 |