| NPI | 1154156479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 2759) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: AL 5348) |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-05 |