| NPI | 1225556582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 4079) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 14115689) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2017-09-06 |