| NPI | 1619355971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: HI SP-1676) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: OH SP.11614) |
| 235Z00000X Speech-Language Pathologist (Licence: TX 105114) | |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2024-02-12 |