| NPI | 1942266093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP1770) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MN 5392) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2025-05-27 |