| NPI | 1215712617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2023032457) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 3922) |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2023-08-25 |