| NPI | 1760856173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP8995) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA8995) |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP8995) | |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2023-05-23 |