| NPI | 1861745812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 9116) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 3423) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2024-05-06 |