| NPI | 1366158289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: ID TSLP-5656) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ID TSLP-5656) |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2023-02-02 |