| NPI | 1508027533 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP10451) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10234) | 
| Enumeration Date | 2008-06-23 | 
| Last Update Date | 2017-04-10 |