| NPI | 1982854576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP7700) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA19966) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2023-12-08 |