| NPI | 1467992537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-4619) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 14129268) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2024-09-20 |