| NPI | 1982154571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 08043) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0011938) |
| 235Z00000X Speech-Language Pathologist, (Licence: PA SL018160) | |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2025-01-22 |