| NPI | 1952599458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT SP585) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ND 1595) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2023-06-26 |