| NPI | 1962853168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL sz9076) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL G524420938350) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2019-09-06 |