| NPI | 1922296763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ 5647) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP5647) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2022-03-01 |