| NPI | 1013617042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 21583) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 8338) |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2023-12-19 |