| NPI | 1316590284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-SP-LIC-11621) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM CF6836) |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2024-05-14 |