| NPI | 1770255564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NE 1394) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 2896) |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2023-09-14 |