| NPI | 1497278188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 10893) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14624) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2024-08-06 |