| NPI | 1891307260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IA 100761) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 5083-154) |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-31 |