| NPI | 1497114946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 5777) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 11828) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2019-11-14 |