| NPI | 1790266062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 09204) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2021-01-25 |