| NPI | 1952982696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 31696) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011446) |
| 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0004331) | |
| Enumeration Date | 2021-04-15 |
| Last Update Date | 2021-08-31 |