| NPI | 1467805382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: FL TPSA79) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MI 7101007578) |
| 235Z00000X Speech-Language Pathologist (Licence: NE 1914) | |
| 235Z00000X Speech-Language Pathologist (Licence: PA SL013965) | |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2023-08-11 |