| NPI | 1700309770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 10363) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA7464) |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 12436) | |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2022-09-06 |