| NPI | 1841531241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ 0077) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 20577) |
| Enumeration Date | 2013-03-09 |
| Last Update Date | 2021-03-18 |