| NPI | 1245857853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP7073) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 264181) |
| 235Z00000X Speech-Language Pathologist, (Licence: SC 5748) | |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2020-06-30 |