| NPI | 1285776138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP4786) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLPL4786) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2023-08-25 |