| NPI | 1760188619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30002079) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 5177) |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2024-11-19 |