| NPI | 1992113021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 7907) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA sp27189) |
| 235Z00000X Speech-Language Pathologist, (Licence: DE o1-0001409) | |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2019-09-24 |