| NPI | 1720464902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-3093) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ID TSLP-2777) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2016-10-24 |