| NPI | 1356814107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP15255) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 3369) |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2024-07-29 |