| NPI | 1912362187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 1694) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NE 14109899) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2020-10-14 |