| NPI | 1518367127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 15420) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6721) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2023-02-10 |