| NPI | 1942407911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP4313) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM C4135) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2022-03-26 |