| NPI | 1871336339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 012616) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 37310) |
| 235Z00000X Speech-Language Pathologist, (Licence: HI SP-2109) | |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-06-13 |