| NPI | 1154183168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 13646234-4102) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WY SP-1283) |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-02-12 |