| NPI | 1285083006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NC 13232) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: AZ TSLP9972) |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2020-01-01 |