| NPI | 1649693250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP3987) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS S3836) |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2020-02-28 |