| NPI | 1790825867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-SP-LIC-7292) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP2074) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2018-12-27 |