| NPI | 1801439328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM CF6772) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SLP7046) |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2024-06-24 |