| NPI | 1225685068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2019032692) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 5418) |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2023-11-01 |