| NPI | 1144710369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: SC 6942) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NC 13638) |
| 235Z00000X Speech-Language Pathologist (Licence: MD 10659) | |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2024-09-18 |