| NPI | 1922455948 |
|---|---|
| Former Name | ELIZABET SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP9975) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP9975) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2023-04-17 |