| NPI | 1275151417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 8918) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS S4673) |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2023-07-05 |