| NPI | 1821449737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: WY SP-950) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NE 535) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2018-09-25 |