| NPI | 1912454208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP8587) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 24712) |
| Enumeration Date | 2016-09-05 |
| Last Update Date | 2021-02-16 |