| NPI | 1396042388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AZ TSLP6469) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: AZ SLPA6336) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2013-09-04 |