| NPI | 1710286182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ slpa12918) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MD A01821) |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2021-09-07 |