| NPI | 1811267610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 14628) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP7097) |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2021-03-11 |