| NPI | 1003338294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 6114) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 12928) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2022-02-18 |