| NPI | 1477227700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IA 115566) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.006345) |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2022-07-12 |