| NPI | 1154804318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ 10650) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 9541) |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2022-02-16 |