| NPI | 1770889073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 13174) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA sl010263) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2022-06-06 |