| NPI | 1962271817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OR 18134) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: LA 6524) |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2024-09-20 |