| NPI | 1942695325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2017005866) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 76764) |
| 235Z00000X Speech-Language Pathologist, (Licence: KS 3719) | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2022-06-17 |