| NPI | 1821490517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 77792-SP-SL) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 12079) |
| 235Z00000X Speech-Language Pathologist, (Licence: WA LL 60485479) | |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2021-08-11 |