| NPI | 1871102327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP12573) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 114423) |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2023-08-11 |