| NPI | 1801369103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: AZ SLPA11582) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: AZ SLPA11582) |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-09 |