| NPI | 1023629904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 09766) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 02054L) |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2021-10-27 |