| NPI | 1881189314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 5069) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO PSLP.0000410) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2023-03-10 |