| NPI | 1053721068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 12153) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2019-07-16 |