| NPI | 1407563133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 78579) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22008037A) |
| 235Z00000X Speech-Language Pathologist, (Licence: SD 1129-SLP) | |
| 235Z00000X Speech-Language Pathologist, (Licence: WA LL61400870) | |
| 235Z00000X Speech-Language Pathologist, (Licence: NV SP-1992) | |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2023-05-05 |