| NPI | 1811336233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WY SP-1273) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.10780) |
| 235Z00000X Speech-Language Pathologist, (Licence: IL 146.011323) | |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2022-07-25 |