| NPI | 1710240585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP7810) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA14492) |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP7810) | |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2018-10-03 |