| NPI | 1538209879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK 376) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AK 210) |
| 235Z00000X Speech-Language Pathologist, (Licence: MT 12095) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2024-01-16 |