| NPI | 1790318822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IA 109247) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17207) |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2022-08-18 |