| NPI | 1972146447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM SLP7366) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008401) |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2023-06-15 |