| NPI | 1790439396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 10773) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NE 2571) |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2023-08-18 |