| NPI | 1801175815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246Q00000X Spec/Tech, Pathology (Licence: AZ SLP9319) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPA6704) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2025-01-30 |