| NPI | 1578988523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11606) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TN 6709) |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2020-02-10 |