| NPI | 1679148910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0012095) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 09856) |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2024-01-22 |