| NPI | 1982069662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 07547) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA17877) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2020-06-10 |