| NPI | 1447890389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP12201) |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2021-08-04 |