| NPI | 1821710161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 15579) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP011954) |
| 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00977400) | |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2022-09-20 |