| NPI | 1811140676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 15418) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 008810-1) |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2024-08-08 |