| NPI | 1093965527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 2692) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 1111) |
| Enumeration Date | 2008-09-20 |
| Last Update Date | 2024-04-10 |