| NPI | 1275972093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AZ SLP7183) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NC 8015) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2013-06-14 |