| NPI | 1962592345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 8967) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 3833) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2021-07-14 |