| NPI | 1902398431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 6852) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: VA 2204000060) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2019-05-19 |