| NPI | 1700234374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP9988) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP9988) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2020-08-06 |