| NPI | 1063256170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 7176) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 9733) |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-06-24 |