| NPI | 1649696287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: MD 07303) |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2019-08-08 |