| NPI | 1154711257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11121) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CT 4532) |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2025-01-03 |