| NPI | 1891571089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 30003146) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 8556) |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2024-07-23 |