| NPI | 1477826998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OH SP.14864) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: AZ SLP7461) |
| 235Z00000X Speech-Language Pathologist (Licence: IL 146.014662) | |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2022-08-09 |