| NPI | 1093919342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 1001) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MT 1144) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2023-12-08 |