| NPI | 1013194760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 23137) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 3896) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2024-11-22 |