| NPI | 1518385939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP8803) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NC 10682) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2018-06-16 |