| NPI | 1043930969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 10117) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11285) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 33984) | |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2022-08-31 |