| NPI | 1609322049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SD 223-SLP) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 7043) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2023-06-09 |