| NPI | 1811576044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 14263) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17979) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA 31472) | |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2021-04-05 |