| NPI | 1285232132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2020021627) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 4666) |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2022-02-23 |