| NPI | 1629554712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM CF6669) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ8640) |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2019-01-08 |