| NPI | 1245642982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 9073) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA 013275) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2024-09-11 |