| NPI | 1790928414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA0100) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM 4257) |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2018-06-15 |