| NPI | 1063581783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP0804) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP8819) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-07-09 |