| NPI | 1558959528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP12808) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP12808) |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2022-07-26 |