| NPI | 1821456088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 6329) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 1605031) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2019-08-28 |