| NPI | 1902050313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP12477) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 04597) |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2024-01-24 |