| NPI | 1659045052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IA 101061) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 14311944) |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2023-12-28 |