| NPI | 1215548821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0011975) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DE O4-0010684) |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2021-09-05 |