| NPI | 1659995769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP13597) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2022-12-09 |