| NPI | 1144643164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP11332) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: UT 8380037-4102) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2024-01-16 |