| NPI | 1518021856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AR 201602) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MO 0292820) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2021-08-31 |