| NPI | 1649433095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 618) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 00934) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2024-02-19 |