| NPI | 1588014831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 5422) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 9673) |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2022-02-15 |