| NPI | 1598297236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 5364) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL 15072) |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ 10481) | |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-03-31 |