| NPI | 1508266594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-3630) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP8915) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2022-07-05 |