| NPI | 1942813647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: LA 8975) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS S4693) |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2022-02-22 |