| NPI | 1710498860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0005499) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 142109) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2023-09-15 |