| NPI | 1518630680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30001665) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 09849) |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2023-10-13 |