| NPI | 1194096503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 9608) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 14045675) |
| 235Z00000X Speech-Language Pathologist, (Licence: OK 5858) | |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008433) | |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2022-09-17 |