NPI | 1780215079 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP12210) |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA12210) |
235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP12210) | |
Enumeration Date | 2020-01-27 |
Last Update Date | 2021-08-06 |