| NPI | 1336819978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0005632) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: RI sp01721) |
| 235Z00000X Speech-Language Pathologist, (Licence: MA SLP78470) | |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2024-09-09 |