| NPI | 1922151620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AZ SLP5644) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: FL SZ4059) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2024-09-18 |