| NPI | 1851572697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP5690) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP5690) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2013-07-10 |