| NPI | 1811474844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MA 78212) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: FL SZ8660) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2021-09-09 |