| NPI | 1023654787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 1807) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ND 000428348) |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2020-06-29 |