| NPI | 1154803112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 4763-154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 9899) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2020-10-13 |