| NPI | 1487808887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP6785) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 12141697) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2018-10-17 |