| NPI | 1952428997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP6779) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006147) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2024-10-11 |