| NPI | 1568843308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP22682) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: TX 103764) |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP9250) | |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |