| NPI | 1972837755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP6404) |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2014-11-18 |