| NPI | 1972118362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: SC 7204) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: GA 010228) |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-09-11 |