| NPI | 1275938961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP3584) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 106134) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2022-10-13 |