| NPI | 1912272584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NM 7675) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: CA 20603) |
| 235Z00000X Speech-Language Pathologist (Licence: NM 5665) | |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2023-09-21 |