| NPI | 1275714818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP5697) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLPL5697) |
| 235Z00000X Speech-Language Pathologist, (Licence: UT 13069248-4102) | |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2025-03-18 |