| NPI | 1649797622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 15174) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ8172) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2023-07-24 |