| NPI | 1396254629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11893) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 20170318) |
| 235Z00000X Speech-Language Pathologist, (Licence: MA 229644) | |
| 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-SP-LIC-6639) | |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2017-09-29 |