| NPI | 1861000408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AZ SLP12566) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: AZ TSLP12566) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2021-06-24 |