| NPI | 1174874069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MD 07597) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: WV 1471) |
| 235Z00000X Speech-Language Pathologist (Licence: KS 3858) | |
| 235Z00000X Speech-Language Pathologist (Licence: ME SP2460) | |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2024-01-23 |