| NPI | 1649548108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP7550) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP7550) |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA7550) | |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2018-08-30 |