| NPI | 1629749460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 10321) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DE O10011973) |
| Enumeration Date | 2021-09-22 |
| Last Update Date | 2022-08-19 |