| NPI | 1831567197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP14726) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: UT 7204397-4102) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2023-08-25 |