| NPI | 1013558485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2018044594) |
| Additional Taxonomies | 171W00000X Contractor (Licence: MO SE-2301) |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2023-12-18 |