| 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 |