| NPI | 1568181535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 10793) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 02577L) |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2024-10-11 |