| NPI | 1174966725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S4191) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 10052) |
| Enumeration Date | 2013-04-14 |
| Last Update Date | 2022-02-24 |