| NPI | 1700287836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP5791) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM C-5620) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2022-04-25 |