| NPI | 1972208213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.15644) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA 61423994) |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2024-09-04 |