| NPI | 1386093821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 9171) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS S4205) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2024-05-02 |