| NPI | 1396118576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 6760) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 3787) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2022-01-13 |