| NPI | 1730447962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 0607) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 01607) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2024-06-05 |