| NPI | 1659980787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 5064-154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 100885) |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2022-11-10 |