| NPI | 1386253433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 0059) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 5021) |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2024-09-05 |