| NPI | 1265030522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP7541) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM CF7233) |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2023-08-15 |