| NPI | 1932590197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 09282) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 271648) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2020-12-16 |