| NPI | 1457017501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS S-2381) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS 170152) |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2021-11-19 |