| NPI | 1841219862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 4922) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2021-07-16 |