| NPI | 1629520739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 19070) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP009439) |
| 235Z00000X Speech-Language Pathologist, (Licence: NV SP-3014) | |
| 235Z00000X Speech-Language Pathologist, (Licence: TN 7066) | |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2021-07-08 |