| NPI | 1912640509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 02352L) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 10228) |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2024-11-11 |