| NPI | 1376293662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP7722) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM CF7401) |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2022-05-23 |