| NPI | 1982191375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 5922510-4102) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 22880) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2018-04-20 |