| NPI | 1912177205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 34865) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 2970) |
| 235Z00000X Speech-Language Pathologist, (Licence: OH 8292) | |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2024-01-24 |