| NPI | 1295277655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK 143253) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 4041) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2020-05-12 |