| NPI | 1487207502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.16167) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI YS02808) |
| 235Z00000X Speech-Language Pathologist, (Licence: PA SL017942) | |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2024-10-18 |