| NPI | 1033672019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 09292) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 01689L) |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2021-12-20 |