| NPI | 1023792884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP14739) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP14739) | |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2024-08-28 |