| NPI | 1518438522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 05827) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 5473) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |