| NPI | 1396285573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK 152705) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: UT 9444519-4104) |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2021-07-01 |