| NPI | 1033516158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP9119) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: HI SP1002) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2014-12-04 |