| NPI | 1598167843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 6716) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 13212) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2025-03-04 |