| NPI | 1083061089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NC 9774) |
| Additional Taxonomies | 2472E0500X Technician, Other EEG (Licence: NC 9774) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2020-02-26 |