| NPI | 1174989073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP9546) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60586665) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 111721) | |
| 235Z00000X Speech-Language Pathologist, (Licence: IA 74912) | |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2016-03-29 |