| NPI | 1912457607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 3839) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 25941) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2020-03-09 |