| NPI | 1710276621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP6901) |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2011-03-31 |