| NPI | 1578995296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ND 1866) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 6997) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2022-10-27 |