| NPI | 1013679026 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 7840) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MT 11609) | 
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2021-10-06 | 
| Last Update Date | 2023-05-05 |