| NPI | 1184496440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 8669) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 30001459) |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2024-01-19 |