| NPI | 1174170179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP12002) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA12002) |
| 235Z00000X Speech-Language Pathologist, | |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP12002) | |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2020-11-25 |