| NPI | 1184230831 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 7376) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 30002507) | 
| Enumeration Date | 2020-09-18 | 
| Last Update Date | 2024-04-03 |