| NPI | 1841633971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP8250) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10898) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2013-04-08 |