| NPI | 1174062665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2021034998) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA2518) | |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2021-08-30 |