| NPI | 1003513326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 6148) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 21058) |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2023-02-08 |