| NPI | 1295299196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-4316) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ID TSLP-3798) |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2020-08-07 |