| NPI | 1518456169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-4241) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP11134) |
| 235Z00000X Speech-Language Pathologist, (Licence: 14090548) | |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2020-03-23 |