| NPI | 1497575203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30003407) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 8592) |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2024-11-14 |