| NPI | 1326714320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 10224) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 02381L) |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2022-09-02 |