| NPI | 1932532124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 8767) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12648) |
| 235Z00000X Speech-Language Pathologist, (Licence: NC 11228) | |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2019-06-11 |