| NPI | 1861053399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP12717) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SZ9092) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2021-04-20 |