| NPI | 1720572183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 8296) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AR 200468) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2024-05-15 |