| NPI | 1790265817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2018032344) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 4502) |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2021-07-01 |