| NPI | 1740919299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 4669) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS 4669) |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2022-06-09 |