| NPI | 1477031300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 14685) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 01677L) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2024-09-19 |