| NPI | 1407379597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 1600) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-SP-LIC-7395) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2018-12-12 |