| NPI | 1194253542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 78347) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101006226) |
| 235Z00000X Speech-Language Pathologist, (Licence: VA 2202009017) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 29353) | |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009285) | |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2022-02-08 |