| NPI | 1770239337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 5068) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NE 2608) |
| Enumeration Date | 2022-02-22 |
| Last Update Date | 2023-05-23 |