| NPI | 1083188320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 1390) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 001950) |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2019-01-21 |