| NPI | 1043363831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP5229) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP5229) |
| 235Z00000X Speech-Language Pathologist, (Licence: SC 4156) | |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ 5229) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2024-01-20 |