| NPI | 1912621020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 22231) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI 2054) |
| 235Z00000X Speech-Language Pathologist, (Licence: CO 0005081) | |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2024-05-13 |