| NPI | 1649436007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP11000) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 10510) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2021-06-02 |