| NPI | 1477300366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2024019909) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2022003370) |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2024-06-17 |