| NPI | 1346784261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 7464) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 10670) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2023-06-05 |