| NPI | 1720443880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 113674) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 1508) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2024-10-09 |