| NPI | 1972109783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 14144646) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 30604) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 116143) | |
| 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS01054700) | |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2020-12-07 |