| NPI | 1457974024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WY SP-1071) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME SP3071) |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2020-05-18 |