| NPI | 1891309670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 14331) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-09-14 |