| NPI | 1770065351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SL013969) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL013969) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2025-01-16 |