| NPI | 1447615653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2015044035) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO mo2015000051) |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2024-08-02 |