| NPI | 1609520790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AL 5070) |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2024-02-07 |