| NPI | 1578755906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA7529) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLPL4643) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2012-03-27 |