| NPI | 1427831122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 14072654) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 259930) |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2023-08-16 |