| NPI | 1821402223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11349) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 1512161) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2021-09-14 |