| NPI | 1154845519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP16172) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 28397) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2025-11-03 |