| NPI | 1962837062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP8516) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA SP33172) |
| Enumeration Date | 2013-09-08 |
| Last Update Date | 2023-01-27 |