| NPI | 1831868801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-09-12 |
| Last Update Date | 2021-09-12 |