| NPI | 1528516804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 12583) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0001549) |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2021-10-14 |