| NPI | 1124258389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP11428) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 7714) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2024-03-01 |