| NPI | 1669774840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: PR 1097) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: PR 1039) |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2020-07-17 |