| NPI | 1275058828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2017027201) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 12967) |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2019-01-17 |