| NPI | 1699289082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 3936) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 14093036) |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2022-10-27 |