| NPI | 1174818207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 3257154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 3527-154) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2021-02-25 |