| NPI | 1457979924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 2526) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NE 773) |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2021-09-20 |