| NPI | 1790106144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30002526) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 01528) |
| Enumeration Date | 2014-01-01 |
| Last Update Date | 2024-03-25 |