| NPI | 1417424623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2018025526) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 3402) |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2022-01-29 |