| NPI | 1750941076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PR 4582) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SI3916) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2024-07-31 |