| NPI | 1952875700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP11648) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP11648) | |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2022-07-20 |