| NPI | 1831524321 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist,   (Licence: AK 113094)  | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist,   (Licence: MA 8778)  | 
| Enumeration Date | 2013-09-04 | 
| Last Update Date | 2022-10-26 |