| NPI | 1871900779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 6949) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 10910) |
| Enumeration Date | 2014-07-13 |
| Last Update Date | 2024-12-17 |