| NPI | 1467962092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 1935) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ND 1594) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2021-11-15 |