| NPI | 1447614185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK 135737) |
| Additional Taxonomies | 101Y00000X Counselor |
| 235Z00000X Speech-Language Pathologist, (Licence: MO 2017029118) | |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2020-09-17 |