| NPI | 1114624863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30001477) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 032637) |
| Enumeration Date | 2023-02-13 |
| Last Update Date | 2023-02-13 |