| NPI | 1912415456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MS S4525) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: LA 7476) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2019-02-06 |