| NPI | 1649633272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CT 006394) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CO 0002384) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2023-12-21 |