| NPI | 1356929582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 10562) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 4397) |
| 235Z00000X Speech-Language Pathologist, (Licence: VT 144.0134125) | |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2021-03-30 |