| NPI | 1104261320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 4491) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS S3725) |
| Enumeration Date | 2013-05-01 |
| Last Update Date | 2021-05-05 |