| NPI | 1871942763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP9973) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP9973) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2025-06-02 |