| NPI | 1528512910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA20369) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ME SP3646) |
| 235Z00000X Speech-Language Pathologist, (Licence: MD 10319) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 26623) | |
| 235Z00000X Speech-Language Pathologist, (Licence: PA SL016088) | |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2024-01-07 |