| NPI | 1437748902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: IA 113478) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: WI 6204-154) |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2024-01-17 |