| NPI | 1902584063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30003454) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ11299) |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2024-10-15 |