| NPI | 1245983972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11565) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL61245169) |
| 235Z00000X Speech-Language Pathologist, (Licence: MA 77887) | |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2022-02-02 |