| NPI | 1457692600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AZ SLP8226) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: AZ SLPA8226) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2024-10-21 |