| NPI | 1174159818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP11790) |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2024-10-16 |