| NPI | 1922371475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2012030843) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2011029042) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2024-08-29 |