| NPI | 1194850966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP6042) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM 4044) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2023-03-28 |