| NPI | 1699198697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 27605) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 9429) |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 023259-1) | |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2019-02-12 |