| NPI | 1295069946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AZ SLP9898) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: ND 1087) |
| 235Z00000X Speech-Language Pathologist (Licence: MN 9409) | |
| 235Z00000X Speech-Language Pathologist (Licence: SD 319-SLP) | |
| 235Z00000X Speech-Language Pathologist (Licence: CA SP 24272) | |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2016-09-07 |