| NPI | 1720331317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2024034298) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0001148) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2024-10-01 |