| NPI | 1437789286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2020001936) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2020001936) |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-01-31 |