| NPI | 1376688119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: AZ SLPL4130) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2023-09-05 |