| NPI | 1003324476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2023030116) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VT 1440133039) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 28025) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CT 7100) | |
| 235Z00000X Speech-Language Pathologist, (Licence: MA 77049-SP-SL) | |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2023-08-07 |