| NPI | 1689820094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AZ 4014940) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: AZ SLP6073) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2014-08-18 |