| NPI | 1104342757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 14433) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 174091) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2022-07-21 |