| NPI | 1851933717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP14687) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61213471) |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2024-06-21 |