| NPI | 1417550674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 201528) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 7790) |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2021-09-16 |