| NPI | 1235841503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 10332) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA6785) |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2022-12-19 |