| NPI | 1831597442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 4236) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 6768) |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2021-06-21 |