| NPI | 1700050143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235500000X Specialist/Technologist (Licence: WI 3063-154) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2022-02-15 |