| NPI | 1043701709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 6271) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC SLP.6271SLP) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2020-01-15 |