| NPI | 1639395999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CT 008273) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0012346) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA8985) | |
| 235Z00000X Speech-Language Pathologist, (Licence: MA SLP100245) | |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 30000132) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2025-11-06 |