| NPI | 1942995360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 6871) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA21589) |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2024-09-16 |