| NPI | 1841742129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA 61471998) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 01264L) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2023-11-20 |