| NPI | 1275082398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP13494) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 6121) |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2022-03-26 |