| NPI | 1194370064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0005441) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 09528) |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2024-09-19 |