| NPI | 1174162028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MT SLP-SP-LIC-8123) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 016332) |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP12183) | |
| 235Z00000X Speech-Language Pathologist, (Licence: CA SP29672) | |
| Enumeration Date | 2019-12-24 |
| Last Update Date | 2022-06-01 |