| NPI | 1659738094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 21635) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY SLPLPA00218763) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2024-03-12 |