| NPI | 1902209836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: SC 4449) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NC 10948) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2021-11-19 |