| NPI | 1457923286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP15725) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OR 016599) |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2024-12-05 |