| NPI | 1154985158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP12344) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO PSLP.0000481) |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2020-07-28 |