| NPI | 1316276389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 9834) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 3890) |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2022-10-20 |