| NPI | 1770063752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 12938) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 08186) |
| Enumeration Date | 2018-08-18 |
| Last Update Date | 2018-08-18 |