| NPI | 1952047110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 225XF0002X Occupational Therapist Feeding, Eating & Swallowing |
| 2355S0801X Specialist/Technologist Speech-Language Assistant | |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2024-05-13 |