| NPI | 1396573069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AZ SLP16272) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: AZ TSLP15251) |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2025-08-05 |