| NPI | 1942738794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP9876) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLPA9876) |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2018-11-10 |