| NPI | 1902331390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2020009578) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 5266) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2021-08-31 |