| NPI | 1669828786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 9783) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 5708) |
| Enumeration Date | 2016-05-07 |
| Last Update Date | 2021-12-21 |