| NPI | 1568564029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP9265) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 15545) |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2015-06-02 |