| NPI | 1497953566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 08799) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 0355801) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2021-12-09 |