| NPI | 1407199516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP10039) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MO 2011026861) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2022-08-08 |