| NPI | 1851842975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-3079) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WY SP-846) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |