| NPI | 1336779768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2022035199) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP12251) |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2022-09-09 |