| NPI | 1144482654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 14499) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 7175) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2021-09-02 |