| NPI | 1922485523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP9755) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 58-014657) |
| Enumeration Date | 2015-05-03 |
| Last Update Date | 2016-01-06 |