| NPI | 1295299725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 14066) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: UT 11111713-4102) |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-01-29 |