| NPI | 1518456011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 13141) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 6269) |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 1812291) | |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2022-09-23 |