| NPI | 1447789177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 3987) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 4461154) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2024-05-09 |