| NPI | 1801326442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0003039) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KY 172475) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2018-12-24 |