| NPI | 1720647282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011251) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.13891) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9054) | |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2020-10-16 |