| NPI | 1619640109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 6145) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 5317-154) |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2023-06-26 |