| NPI | 1952994246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 09672) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 4239-154) |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2021-02-18 |