| NPI | 1902537772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT 11568) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MT 206) |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2023-04-15 |