| NPI | 1336580950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 7188) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 9698) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2020-06-10 |