| NPI | 1952778771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 2431) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 4011) |
| 235Z00000X Speech-Language Pathologist, (Licence: MO 2021039392) | |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2022-04-29 |