| NPI | 1497156962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ tslp9115) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ slpa9115) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2022-03-11 |