| NPI | 1407279425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11103) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 5319) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2021-11-10 |