| NPI | 1609659481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 9828347-4102) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 096031) |
| 235Z00000X Speech-Language Pathologist, (Licence: ID 4904) | |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2023-08-16 |