| NPI | 1215444542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MO 2017024477) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2022-05-16 |