| NPI | 1922713049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30001416) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17279) |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-01-23 |