| NPI | 1861177727 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP14488) | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: 14472086) | 
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2023-06-19 | 
| Last Update Date | 2023-06-19 |