| NPI | 1679956874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP11150) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 9856) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2022-12-21 |