| NPI | 1821761826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT 11605) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 14693) |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2023-06-14 |