| NPI | 1679852180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ 7554) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP7554) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2024-04-22 |