| NPI | 1962836544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AZ SLP8546) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: AZ TSLP8546) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2015-11-05 |