| NPI | 1932320678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 5707) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 3822) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2023-07-19 |