| NPI | 1144909953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2023029160) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2024033143) |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2024-08-23 |