| NPI | 1922361443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-SP-TMP-2253) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0005944) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2024-07-09 |