| NPI | 1144420407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP8186) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MA 7109) |
| 235Z00000X Speech-Language Pathologist, (Licence: WA LL00004625) | |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ 8186) | |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2020-10-16 |