| NPI | 1942678057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP7040) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM 5731) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2022-03-23 |