| NPI | 1922578533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLPA6672) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM SLPA7839) |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2022-08-02 |