| NPI | 1568846400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP9439) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP23013) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-20 |