| NPI | 1629530324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 18533) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL015078) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2023-04-30 |