| NPI | 1932794302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA 61152323) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242005832) |
| Enumeration Date | 2021-03-07 |
| Last Update Date | 2021-09-08 |