| NPI | 1770906711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008438) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 21735) |
| 235Z00000X Speech-Language Pathologist, (Licence: NV SP-1985) | |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2020-04-22 |