| NPI | 1790225449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 6067) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 0001645) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA6062) | |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |