| NPI | 1093279408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 7752) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 4942) |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2022-12-08 |