| NPI | 1801516992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 10671) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 02494L) |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2023-07-27 |