| NPI | 1003173451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 8079) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 076314) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2025-11-12 |