| NPI | 1750549440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 3811) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: NC 3811) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2022-02-16 |