| NPI | 1255055018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP15184) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO SLP.0004979) |
| 235Z00000X Speech-Language Pathologist, (Licence: AL 5667) | |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2024-08-22 |