| NPI | 1073702486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 19060) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 8061) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2022-09-09 |