| NPI | 1265118756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP14551) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 29161) |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2023-06-27 |