| NPI | 1720353246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 3291) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2020-10-06 |