| NPI | 1720639446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-4667) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 016670) |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2022-04-18 |