| NPI | 1144935412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WY SP-1312) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC SLP.8060) |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2023-09-18 |