| NPI | 1376012476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 07280) |
| Additional Taxonomies | 231H00000X Audiologist |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2018-11-19 |