| NPI | 1538551981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 07313) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA18079) |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2021-10-11 |