| NPI | 1821132457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP13428) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11111) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2022-09-27 |